| Kendall Implant And Oral Surgery | |
|
109 Falls Ct Ste 700 Boerne TX 78006-2984 | |
| (830) 331-2007 | |
| (830) 331-2009 |
| Full Name | Kendall Implant And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 109 Falls Ct Ste 700, Boerne, Texas |
| Authorized Official Name and Position | Charles Lee Clark (OWNER) |
| Authorized Official Contact | 8303312007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Implant And Oral Surgery 109 Falls Ct Ste 700 Boerne TX 78006-2984 Ph: (830) 331-2007 | Kendall Implant And Oral Surgery 109 Falls Ct Ste 700 Boerne TX 78006-2984 Ph: (830) 331-2007 |
| NPI Number | 1437779691 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437779691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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